Samenvatting
Background: Medical schools all over the world try to adapt their programs to meet international standards. However, local culture might hamper innovation attempts.
Aims: To describe challenges in implementing the mini-CEX in Indonesia and investigate its effect on students' clinical competence.
Methods: The study was conducted in the Internal Medicine and Neurology departments of the Universitas Gadjah Mada, Indonesia. Implementing the mini-CEX into the existing curriculum, while taking the Indonesian culture into account, implied a shift from group to individual feedback. We compared students' final clinical competence before (Internal Medicine n = 122, Neurology n = 183) and after (n = 183 and 186, respectively) the implementation of the mini-CEX, using a modified Objective Structured Long Examination Record (OSLER). The Mann-Whitney test was used to analyze the data.
Results: We took power distance and individualism into account to facilitate the implementation process. After implementing the mini-CEX, the OSLER results were significant higher in Internal Medicine (p
Conclusion: By managing the innovation process carefully and taking culture and local context into account, the mini-CEX can be implemented without changing the underlying concept. The shift from group to individual feedback seems to have a positive effect on student learning.
Originele taal-2 | English |
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Pagina's (van-tot) | 894-902 |
Aantal pagina's | 9 |
Tijdschrift | Medical Teacher |
Volume | 36 |
Nummer van het tijdschrift | 10 |
DOI's | |
Status | Published - okt.-2014 |